切换至 "中华医学电子期刊资源库"

中华口腔医学研究杂志(电子版) ›› 2020, Vol. 14 ›› Issue (03) : 197 -199. doi: 10.3877/cma.j.issn.1674-1366.2020.03.012

所属专题: 口腔医学 文献

综述

牙片屏障即刻种植术
房俊艳1, 王明臻2, 宋倩1, 邱立新3,()   
  1. 1. 山东大学齐鲁医院桓台分院·桓台县人民医院口腔科,淄博 256400
    2. 青岛市口腔医院修复科 266003
    3. 北京大学口腔医院第四门诊部 100025
  • 收稿日期:2020-02-09 出版日期:2020-06-01
  • 通信作者: 邱立新

Socket shield technique for immediate implant placement: a systematic review

Junyan Fang1, Mingzhen Wang2, Qian Song1, Lixin Qiu3,()   

  1. 1. Department of Stomatology, Huantai Branch, Qilu Hospital of Shandong University, Zibo 256400, China
    2. Department of Prosthodontics, Qingdao Stomatological Hospital, Qingdao 266003, China
    3. Fourth Clinical Division, Peking University Hospital of Stomatology, Beijing 100025, China
  • Received:2020-02-09 Published:2020-06-01
  • Corresponding author: Lixin Qiu
  • About author:
    Corresponding author: Qiu Lixin, Email:
引用本文:

房俊艳, 王明臻, 宋倩, 邱立新. 牙片屏障即刻种植术[J/OL]. 中华口腔医学研究杂志(电子版), 2020, 14(03): 197-199.

Junyan Fang, Mingzhen Wang, Qian Song, Lixin Qiu. Socket shield technique for immediate implant placement: a systematic review[J/OL]. Chinese Journal of Stomatological Research(Electronic Edition), 2020, 14(03): 197-199.

唇侧牙槽嵴顶的位置及高度是保证前牙种植美学效果的关键因素。牙齿拔除后,唇侧骨板,尤其牙槽嵴顶区2 ~ 3 mm处首先发生吸收,继而引发牙槽骨三维方向的变化,软组织塌陷,成为美学修复难点。常规拔牙即刻种植技术的主要问题也是修复后常见的唇侧龈缘退缩,影响最终美学修复效果。牙片屏障即刻种植术是近年来逐渐开展起来的一项新的即刻种植技术,但是关于此项新技术还有一些问题值得探讨,如此技术的理论基础、适应证的把握、外科技术的要点(唇侧牙片的大小、形态、种植体的选择等)、长期美学效果及并发症的处理。本文就此作一综述。

In Implant Dentistry, the buccal alveolar ridge contour in the esthetic area has been confirmed as one of the key elements to obtain a high esthetic outcome. However, tooth extraction is always followed by the resorption of labial alveolar bone, especially in the most coronal 2 ~ 3 mm area, which can then cause dimensional changes in the remnant alveolar bone and severe gingival margin recession damaging the pink aesthetic outcome of peri-implant tissue. Therefore, immediate implant placement has been a significant challenging treatment modality for the clinician. The recently popularized socket shield technique involves intentional retention of a section of the remnant root at the time of immediate implant placement, thereby preserving the buccal bone from resorption. The objective of this systematic review was to assess the literature available on the socket shield technique and summarize its theoretical basis, indications and surgical essentials, as well as the long-term clinical outcomes and management of complications.

[1]
Rothamel D, Schwarz F, Herten M,et al. Dimensional ridge alterations following tooth extraction. An experimental study in the dog[J]. Mund Kiefer Gesichtschir,2007,11(2):89-97. DOI:10.1007/s10006-007-0050-z.
[2]
Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog[J]. J Clin Periodontol,2005,32(2):212-218. DOI:10.1111/j.1600-051X.2005.00642.x.
[3]
Hürzeler MB, Zuhr O, Schupbach P,et al. The socket-shield technique:a proof-of-principle report[J]. J Clin Periodontol,2010,37(9):855-862. DOI:10.1111/j.1600-051X.2010.01595.x.
[4]
Chappuis V, Araújo MG, Buser D. Clinical relevance of dimensional bone and soft tissue alterations post-extraction in esthetic sites[J]. Periodontol 2000,2017,73(1):73-83. DOI:10.1111/prd.12167.
[5]
Roe P, Kan JYK, Rungcharassaeng K. Residual root preparation for socket-shield procedures:a facial window approach[J]. Int J Esthet Dent,2017,12(3):324-335.
[6]
朱一博,邱立新,陈硌,等.上前牙区牙片屏障即刻种植术临床效果的初步研究[J].中华口腔医学杂志,2018,53(10):665-668. DOI:10.3760/cma.j.issn.1002-0098.2018.10.004.
[7]
Gluckman H, Salama M, Du Toit J. Partial Extraction Therapies (PET)Part 1:Maintaining Alveolar Ridge Contour at Pontic and Immediate Implant Sites[J]. Int J Periodontics Restorative Dent,2016,36(5):681-687. DOI:10.11607/prd.2783.
[8]
Huang H, Shu L, Liu Y,et al. Immediate Implant Combined With Modified Socket-Shield Technique:A Case Letter[J]. J Oral Implantol,2017,43(2):139-143. DOI:10.1563/aaid-joi-D-16-00107.
[9]
Gluckman H, Salama M, Du Toit J. Partial Extraction Therapies (PET)Part 2:Procedures and Technical Aspects[J]. Int J Periodontics Restorative Dent,2017,37(3):377-385. DOI:10.11607/prd.3111.
[10]
Tan Z, Kang J, Liu W,et al. The effect of the heights and thicknesses of the remaining root segments on buccal bone resorption in the socket-shield technique:An experimental study in dogs[J]. Clin Implant Dent Relat Res,2018,20(3):352-359. DOI:10.1111/cid.12588.
[11]
Bäumer D, Zuhr O, Rebele S,et al. The socket-shield technique:first histological,clinical,and volumetrical observations after separation of the buccal tooth segment—a pilot study[J]. Clin Implant Dent Relat Res,2015,17(1):71-82. DOI:10.1111/cid.12076.
[12]
Bäumer D, Zuhr O, Rebele S,et al. Socket Shield Technique for immediate implant placement - clinical,radiographic and volumetric data after 5 years[J]. Clin Oral Implants Res,2017,28(11):1450-1458. DOI:10.1111/clr.13012.
[13]
Han CH, Park KB, Mangano FG. The modified socket shield technique[J]. J Craniofac Surg,2018,29(8):2247-2254. DOI:10.1097/SCS.0000000000004494.
[14]
Fürhauser R, Florescu D, Benesch T,et al. Evaluation of soft tissue around single-tooth implant crowns:the pink esthetic score [J]. Clin Oral Implants Res,2005,16(6):639-644. DOI:10.1111/j.1600-0501.2005.01193.x.
[15]
闫圣杰,周聪,刘金,等.上颌前牙区应用根膜技术即刻种植的临床效果观察[J].华西口腔医学杂志,2019,37(6):615-620. DOI:10.7518/hxkq.2019.06.008.
[16]
Sun C, Zhao J, Liu Z,et al. Comparing conventional flap-less immediate implantation and socket-shield technique for esthetic and clinical outcomes:A randomized clinical study[J]. Clin Oral Implants Res,2020,31(2):181-191. DOI:10.1111/clr.13554.
[17]
Gluckman H, Salama M, Du Toit J. A retrospective evaluation of 128 socket-shield cases in the esthetic zone and posterior sites:Partial extraction therapy with up to 4 years follow-up[J]. Clin Implant Dent Relat Res,2018,20(2):122-129. DOI:10.1111/cid.12554.
[1] 李刘庆, 陈小翔, 吕成余. 全腹腔镜与腹腔镜辅助远端胃癌根治术治疗进展期胃癌的近中期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 23-26.
[2] 刘世君, 马杰, 师鲁静. 胃癌完整系膜切除术+标准D2根治术治疗进展期胃癌的近中期随访研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 27-30.
[3] 赵丽霞, 王春霞, 陈一锋, 胡东平, 张维胜, 王涛, 张洪来. 内脏型肥胖对腹腔镜直肠癌根治术后早期并发症的影响[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 35-39.
[4] 李华志, 曹广, 刘殿刚, 张雅静. 不同入路下行肝切除术治疗原发性肝细胞癌的临床对比[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 52-55.
[5] 常小伟, 蔡瑜, 赵志勇, 张伟. 高强度聚焦超声消融术联合肝动脉化疗栓塞术治疗原发性肝细胞癌的效果及安全性分析[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 56-59.
[6] 徐逸男. 不同术式治疗梗阻性左半结直肠癌的疗效观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 72-75.
[7] 王露, 周丽君. 全腹腔镜下远端胃大部切除不同吻合方式对胃癌患者胃功能恢复、并发症发生率的影响[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 92-95.
[8] 许杰, 李亚俊, 冯义文. SOX新辅助化疗后腹腔镜胃癌D2根治术与常规根治术治疗进展期胃癌的近期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 647-650.
[9] 康婵娟, 张海涛, 翟静洁. 胰管支架置入术治疗急性胆源性胰腺炎的效果及对患者肝功能、炎症因子水平的影响[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 667-670.
[10] 付成旺, 杨大刚, 王榕, 李福堂. 营养与炎症指标在可切除胰腺癌中的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 704-708.
[11] 刘柏隆, 周祥福. 女性尿失禁吊带手术并发症处理的经验分享[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 127-127.
[12] 嵇振岭, 陈杰, 唐健雄. 重视复杂腹壁疝手术并发症的预防和处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 601-606.
[13] 江志鹏, 钟克力, 陈双. 复杂腹壁疝手术后腹腔高压与腹腔间室综合征的预防和处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 612-615.
[14] 王学虎, 赵渝. 复杂腹壁疝手术中血管损伤并发症的预防和处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 616-619.
[15] 马东扬, 李斌, 陆安清, 王光华, 雷文章, 宋应寒. Gilbert 与单层补片腹膜前疝修补术疗效的随机对照研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 629-633.
阅读次数
全文


摘要